The Texas Supreme Court has found Xerox responsible for $1 billion in fraudulent Medicaid payments made while the company was responsible for pre-authorizations for Texas Medicaid patients’ dental work.
According to a Texas Tribune report, the decision upheld a Texas Court of Appeals ruling that Xerox subsidiary Texas Medicaid and Healthcare Partnership was at fault for the mismanagement and inappropriate authorization of payments for Medicaid dental services between 2003 and 2010, when Texas Medicaid payments for orthodontic services grew by more than 3,000 percent from $6.5 million to $220.5 million, even though enrollment in the program only grew 33 percent.
Source: Texas Supreme Court upholds $1B Medicaid dental fraud decision against Xerox / Westfair Online